Healthcare Provider Details

I. General information

NPI: 1144308255
Provider Name (Legal Business Name): S KENDALL DUNN DMD MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 CARMICHAEL WAY
MONTGOMERY AL
36106-3694
US

IV. Provider business mailing address

1344 CARMICHAEL WAY
MONTGOMERY AL
36106-3694
US

V. Phone/Fax

Practice location:
  • Phone: 334-270-1044
  • Fax: 334-270-7889
Mailing address:
  • Phone: 334-270-1044
  • Fax: 334-270-7889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number4226
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: